List prior employment starting with the most recent: 

I authorize investigation of all statements contained in this application form if I am considered for employment, and hereby authorize previous employers, personal
references named, or any other person or persons to whom the company may refer to give any and all information regarding my employment or scholastic standing
together with any other information, personal or otherwise, that may not be on their records.
I understand that misrepresentation or omission of the facts called for hereon or receipt of unsatisfactory references will be sufficient cause for dismissal from the
company's service if I shall have been employed.
I understand the need and importance of scheduling reliable staff during those work days and hours required to conduct your business. I acknowledge company
rules and policies require that I inform my scheduling manager any changes in my work availability. Accordingly, I understand and agree it is my responsibility to
immediately inform my scheduling manager of any changes.
I further understand that if I shall be employed, my employment will be on a probationary basis and either of us may terminate our work relationship for any reason. I
may be discharged at any time for my inability to adapt myself to their requirements and duties of my employment.